KATLYN ANN POUPORE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

INACTIVE

Business

First Name

KATLYN

Middle

ANN

Last Name

POUPORE

Business Name

KATLYN ANN POUPORE

Original Issue Date

03/15/2016

Effective Date

07/07/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022